Metabolic syndrome - controversies between academic debate and real world medical practice

Jan Tatoń; Małgorzata Bernas

Vol 4, No 1 (2008)

Prace poglądowe

Published online: 2008-02-07

View PDF (Polish)

Download PDF file

Get Citation

Metabolic syndrome - controversies between academic debate and real world medical practice

Jan Tatoń, Małgorzata Bernas

Endokrynol. Otył. Zab. Przem. Mat 2008;4(1):13-26.

Vol 4, No 1 (2008)

Prace poglądowe

Published online: 2008-02-07

Abstract

The expression „metabolic syndrome” points to the coexistence of selected, mainly metabolic factors, forming the increased global risk of atherosclerosis and of its complications. However the delineation of such cluster of metabolic, atherogenic risk continue to be under discussion resulting in many not always well evidenced definitions. They are related to selected on different levels of evidence criteria, which are not equivalent. Primary etiological mechanisms of the metabolic syndrome are not known. This fact impairs all actual definition. It is also the cause at many diagnostic, preventive and therapeutic difficulties in clinical practice. The number of the risk factors of atherosclerosis and of its complications is almost always greater than the frames of definitions; the risk factors are also quantitatively different. Therefore their delineation with the more dynamic concept emphasises of “angiometabolic” risk could be more practical. It the need for individualization, which could be more useful than the academic discussion about the definitions.
It follows that such approach should be based on more individual diagnostic plans. The proposal of such plan is presented.